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Contact Information

HARUKI ISHII, MD
1968 HAWKS LN NE
BROOKHAVEN, GA30329-2283
 Phone: 404-778-7142
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for HARUKI ISHII · (Male)

NPI # 1063905834
Status Active
Credentials MD
Entity Individual
Enumeration date 06/07/2018
Last updated 07/01/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 010056
  • GA License # 95121
  • NY License # 010056
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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